Organization
RECOVIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RICHARDS (HR MANAGER)
(480) 712-4600
Entity
Organization
Contact information
Practice address
337 E CORONADO RD STE 201, PHOENIX, AZ 85004-1583
(480) 712-4600
(480) 712-4600
Mailing address
PO BOX 20216, PHOENIX, AZ 85036-0216
(480) 712-4600
(480) 219-7138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
174400000X
Specialist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/26/2021
Last updated
10/12/2022
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